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Contact Information

DIANA M NICOLAS, RD, CDE
8300 CONSTITUTION AVE NE BLD D
ALBUQUERQUE, NM87110
 Phone: 505-559-6404
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nutrition, Education

133NN1002X
 

Dietitian, Registered

133V00000X 71 Registered Dietitian or Nutrition Professional
Indicates primary specialty

NPI Profile & details for DIANA M NICOLAS · (Female)

NPI # 1790257558
Status Active
Credentials RD, CDE
Entity Individual
Enumeration date 12/18/2018
Last updated 01/14/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • NM License # LD-1263
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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